Individual provider Active NPI

Niloufar Gabbay, PA-C

  • Physician Assistant
  • Beverly Hills, CA
National Provider Identifier
1124043138
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17461 Issued in CA
Practice address
120 S Spalding Dr Ste 305
Beverly Hills, CA 90212-1836
Phone
(310) 829-5888
Fax
(510) 879-9100
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X PA17461 CA
Physician Assistant 363A00000X PA17461 CA Primary

Addresses

Primary practice location

120 S Spalding Dr Ste 305
Beverly Hills, CA 90212-1836

Mailing address

24711 Via Pradera
Calabasas, CA 91302-1470
Phone (818) 489-7207

Other identifiers 1

IdentifierTypeStateIssuer
PA17461MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041204000292 CA Practitioner - Physician Assistant 9830155563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Southern California Keck School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usc Care Medical Group IncGroup PAC ID 0446157747, 1,378 clinicians

Practice addresses (Care Compare)

1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273

1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273

1812 Verdugo Blvd
Glendale, CA 91208-1407
Phone (818) 790-7100

Hospital & facility affiliations

  • Usc Verdugo Hills Hospital Hospital, Glendale, CA, CCN 050124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA17461CAMDPhysician Assistant
17461CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners CurrentSince Dec 12, 2025 Accepting new patients
First Choice Physician Partners CurrentSince Dec 12, 2025 Accepting new patients

Locations

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

35800 Bob Hope Dr
Ste 225
Rancho Mirage, CA 92270
Phone (760) 324-4466

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCEFDD/Endpoint/HCEFDD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1124043138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24711 VIA PRADERA",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021470",
            "telephone_number": "818-489-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S SPALDING DR STE 305",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121836",
            "telephone_number": "310-829-5888",
            "fax_number": "510-879-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABBAY",
        "first_name": "NILOUFAR",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "PA17461",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA17461",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.